Most searched codes in this category
Monthly US Google searches for the bare code (Google Ads, measured October 9, 2026) show which codes in this category coders and billers look up most.
Codes in this category
3 codes in this category have an indexed reference page; the other 1,750 active codes follow as a list and keep their own pages for lookups. The Medicare amount is the national figure each code page leads with, and the range column links the HCPCS range hub the code also belongs to.
| Code | Descriptor | Medicare amount | Basis | Range hub |
|---|---|---|---|---|
| G0323 | Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month. (these services include the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, coordination with and/or referral to physicians and practitioners who are authorized by medicare to prescribe medications and furnish e/m services, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team) | $57.78 | PFS non-facility | G codes |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | $11.34 | CLFS | G codes |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established) | $17.37 | PFS non-facility | G codes |
Show the other 1,750 codes (pages not in search results)
- A4226 Weekly supply maint cgs pump
- A4261 Cervical cap contraceptive
- A4264 Intratubal occlusion device
- A4266 Diaphragm
- A4267 Male condom
- A4268 Female condom
- A4269 Spermicide
- A4281 Replacement breastpump tube
- A4282 Replacement breastpump adpt
- A4283 Replacement breastpump cap
- A4284 Replcmnt breast pump shield
- A4285 Replcmnt breast pump bottle
- A4286 Replcmnt breastpump lok ring
- A4287 Disp col sto bag breast milk
- A4288 Replacement breastpump valve
- A4290 Sacral nerve stim test lead
- A4457 Enema tube any type repl
- A4458 Reusable enema bag
- A4467 Belt strap sleev grmnt cover
- A4468 Exsuff belt incl all sup acc
- A4540 Trans elec nerv periph nerv
- A4560 Nmes disposable
- A4566 Should sling/vest/abrestrain
- A4614 Hand-held pefr meter
- A4932 Reusable rectal thermometer
- A6412 Occlusive eye patch
- A7023 Mech allergen parti barrier
- A7049 Epap nasal valve
- A8005 Grip glove w microprocessor
- A8006 Grip glove replacement only
- A9152 Single vitamin NOS
- A9153 Multi-vitamin NOS
- A9154 Artificial saliva, 1 ml
- A9156 Oral mucoadhesive per 1 ml
- A9180 Lice treatment, topical
- A9268 Programmer orally ingest cap
- A9269 Programable ingest capsule
- A9270 Non-covered item or service
- A9273 Hot/cold botle/cap/col/wrap
- A9276 Disposable sensor, CGM sys
- A9277 External transmitter, CGM
- A9278 External receiver, CGM sys
- A9280 Alert device, NOC
- A9282 Wig any type
- A9284 Non-electronic spirometer
- A9285 Inversion eversion cor devic
- A9291 Pres dig cog behav thera FDA
- A9292 Pres dig visual therapy FDA
- A9293 Fertility cycl tracking soft
- A9294 Biofeed dig cog behav tx FDA
- A9300 Exercise equipment
- B4100 Food thickener oral
- C9898 Inpnt stay radiolabeled item
- C9899 Inpt implant pros dev,no cov
- E0152 Walker, battery power wheels
- E0350 Control unit bowel system
- E0352 Disposable pack w/bowel syst
- E0445 Oximeter non-invasive
- E0487 Electronic spirometer
- E0492 Control unit nm stim w phone
- E0493 Oral dv/app neuromus mouthpi
- E0603 Electric breast pump
- E0604 Hosp grade elec breast pump
- E0676 Inter limb compress dev NOS
- E0710 Restraints any type
- E0711 Ue enclosure restr rom
- E0715 Intravag pelvic floor kegel
- E0716 Supp and acces intravag pelv
- E0737 Transcut tibial stim by app
- E0755 Electronic salivary reflex s
- E0765 Nerve stimulator for tx n&v
- E0787 Cgs dose adj insulin inf pmp
- E1301 Whirlpool tub walkin portabl
- E1902 Aac non-electronic board
- E8000 Posterior gait trainer
- E8001 Upright gait trainer
- E8002 Anterior gait trainer
- G0029 No tob scr/cess int
- G0030 Pt scr tob & cess int
- G0031 Pall serv during meas
- G0032 2+ antipsy schiz
- G0033 2+ benzo seiz
- G0034 Pall serv during meas
- G0035 Pt ed pos 23
- G0036 Pt/ptn decln assess
- G0037 Pt not able to participate
- G0038 Clin pt no ref
- G0039 Pt no ref, rn spec
- G0040 Pt phys/occ therapy
- G0041 Pt/ptn decln referral
- G0042 Ref to therapy
- G0043 Pt mech pros ht valv
- G0044 Pt mitral stenosis
- G0045 Mrs 90 days post stk
- G0046 No mrs 90 days post stk
- G0047 Ped blunt hd traum
- G0048 Pall serv during meas
- G0049 Main hemo in-cntr
- G0050 Pt w/ lmted life expec
- G0051 Pt hospice mnth
- G0052 Pt peri dialysis dur mo
- G0053 Adv rheum pt care mvp
- G0054 Strk cr prev pos outcme mvp
- G0055 Adv care heart dx mvp
- G0057 Best pct pt safety em mvp
- G0058 Imprv care le jnt repr mvp
- G0059 Pt sfty pos exp w aneth mvp
- G0060 Allergy/immunology ss
- G0061 Anesthesiology ss
- G0062 Audiology ss
- G0063 Cardiology ss
- G0064 Cert nurse midwife ss
- G0065 Chiropractic ss
- G0066 Clinical social work ss
- G0067 Dentistry ss
- G0320 Two-way audio and video hhs
- G0321 Audio-only hhs
- G0322 Home h physio data collec tr
- G0519 New pt-cg dyad dem low cmplx
- G0520 New pt-cg dyad dem mod cmplx
- G0521 New pt-cg dyad dem hig cmplx
- G0522 Mgt nw pt dementia low cmplx
- G0523 Mgt nw pt dem mod-high cmplx
- G0524 Est pt-cg dyad dem low cmplx
- G0525 Est pt-cg dyad dem mod cmplx
- G0526 Est pt-cg dyad dem hig cmplx
- G0527 Mgt est pt dmentia low cmplx
- G0528 Mgt est pt dem mod-hi cmplx
- G0529 In home respite care, 4 hr u
- G0530 Adult daycare center, 8 hr u
- G0531 Fclty-based respite, 24 hr u
- G0532 Take home supp nasal spray
- G0555 Replacment pt electronic sys
- G0574 Mgt new pt dem res care cmmi
- G0575 Mgt est pt dem res care cmmi
- G1025 Pt mnth 1 mcp prov
- G1026 Pt hemo > 3mo
- G1027 Pt hemo < 3mo
- G1028 Take home supply 8mg per 0.1
- G2020 Hi inten serv for sip model
- G2081 Pt 66+ snp or ltc pos > 90d
- G2090 Pt 66+ frailty and med dem
- G2091 Pt 66+ frailty and adv ill
- G2092 Ace arb arni
- G2093 Med doc rsn no ace arn arni
- G2094 Pt rsn no ace arn arni
- G2096 No rsn ace arb arni
- G2097 Dx uri 3d after other dx
- G2098 Pt 66+ frailty and med dem
- G2099 Pt 66+ frailty and adv ill
- G2100 Pt 66+ frailty and med dem
- G2101 Pt 66+ frailty and adv ill
- G2105 Pt 66+ snp or ltc pos > 90d
- G2106 Pt 66+ frailty and med dem
- G2107 Pt 66+ frailty and adv ill
- G2112 Pred<=5 mg ra glu <6m
- G2113 Pred>5 mg >6m, no chg da
- G2115 Pt 66-80 frailty and med dem
- G2116 Pt 66-80 frailty and adv ill
- G2118 Pt 81+ frailty
- G2121 Psy dep anx ap and ICD asse
- G2122 Psy/dep/anx/apandicd noasse
- G2125 Pt 81+ frailty
- G2126 Pt 66-80 frailty and adv ill
- G2127 Pt 66-80 frailty and med dem
- G2128 No aspirin med rsn
- G2129 No bp outpt
- G2136 Bk pain vas 6-20wk <= 3
- G2137 Bk pain vas 6-20wk > 3
- G2138 Bk pain vas 9-15mo <= 3
- G2139 Bk pain vas 9-15mo > 3
- G2140 Leg pain vas 6-20wk <= 3
- G2141 Leg pain vas 6-20wk > 3
- G2142 Fs odi 9-15mo postop<= 22
- G2143 Fs odi 9-15mo > 22
- G2144 Fs odi 6-20wk postop <= 22
- G2145 Fsodi 6-20wk >22 or chg 30pt
- G2146 Leg pain vas 9-15mo <= 3
- G2147 Leg pain vas 9-15mo > 3
- G2148 Mpm used
- G2149 No mpm med rsn
- G2150 No mpm
- G2151 Dx degen neuro
- G2152 Res change sc >=0
- G2167 Res change sc < 0
- G2172 Tx for opioid use demo proj
- G2173 Uri w comorb 12m oth dx
- G2174 Uri new rx antibiotic 30d
- G2175 Pt comorb dx 12m of epi
- G2176 Outpt ed obs w inpt admit
- G2177 Bronch w rx antibx 30d
- G2178 Pt not elig low neuro ex
- G2179 Med doc rsn no low ex
- G2180 Inelig footwr eval
- G2181 Bmi not doc medrsn ptref
- G2182 Pt 1st biolog antirheum
- G2183 Doc pt unable comm
- G2184 No caregiver
- G2185 Caregiver dem trained
- G2186 Pt ref app rsrcs
- G2187 Clin ind img hd trauma
- G2188 Pt 50 yrs w/clin ind hd
- G2189 Img hd abnml neuro exam
- G2190 Ind img hd rad neck
- G2191 Ind img hd pos hd ache
- G2192 >55 yrs temp hd ache
- G2193 <6yr new onset hd ache
- G2194 New hdache ped pt dis
- G2195 Occip hdache child
- G2196 Screen unhlthy etoh use
- G2197 Screen hlthy etoh use
- G2199 Not scrn etoh no rsn
- G2200 Unhlthy etoh rcvd couns
- G2202 No rsn no brief couns
- G2204 Pt 45-85 w/ scope
- G2205 Preg drng adjv trtmt
- G2206 Adjv trtmt chemo her2
- G2207 Rsn no trtmt chem her2
- G2208 No trtmt chemo and her2
- G2209 Refused to participate
- G2210 No neck fs prom no rsn
- G2213 Initiat med assist tx in er
- G2215 Home supply nasal naloxone
- G2216 Home supply inject naloxon
- G4000 Dermatology ss
- G4001 Diagnostic rad ss
- G4002 Ep cardio ss
- G4003 Emergency med ss
- G4004 Endocrinology ss
- G4005 Family medicine ss
- G4006 Gastroenterology ss
- G4007 General surgery ss
- G4008 Geriatrics ss
- G4009 Hospitalists ss
- G4010 Infectious disease ss
- G4011 Internal medicine ss
- G4012 Interventional rad ss
- G4013 Mntal/behav/psych hlth ss
- G4014 Nephrology ss
- G4015 Neurology ss
- G4016 Neurosurgical ss
- G4017 Nutrition/dietician ss
- G4018 Ob/gyn ss
- G4019 Oncology/hema ss
- G4020 Ophthalmology/optometry ss
- G4021 Orthopedic surgery ss
- G4022 Otolaryngology ss
- G4023 Pathology ss
- G4024 Pediatrics ss
- G4025 Physical medicine ss
- G4026 Phys/occ therapy ss
- G4027 Plastic surgery ss
- G4028 Podiatry ss
- G4029 Preventive medicine ss
- G4030 Pulmonology ss
- G4031 Radiation oncology ss
- G4032 Rheumatology ss
- G4033 Skilled nursing facility ss
- G4034 Speech language path ss
- G4035 Thoracic surgery ss
- G4036 Urgent care ss
- G4037 Urology ss
- G4038 Vascular surgery ss
- G9140 Frontier extended stay demo
- G9148 Medical home level 1
- G9149 Medical home level ii
- G9150 Medical home level iii
- G9151 Mapcp demo state
- G9152 Mapcp demo community
- G9153 Mapcp demo physician
- G9156 Evaluation for wheelchair
- G9361 Doc rsn elect c-sec/induct
- G9364 Sinus caus bac inx
- G9367 >= 2 same hi-rsk med ord
- G9368 >= 2 same hi-rsk med not ord
- G9380 Off assis eol iss
- G9382 No off assis eol
- G9383 Recd scrn hcv infec
- G9384 Doc med rsn no hcv scrn
- G9385 Doc pt reas not rec hcv srn
- G9386 Scrn hcv infec not recd
- G9393 Ini phq9 >9 remiss <5
- G9394 Dx bipol, death, nhres, hosp
- G9395 Ini phq9 >9 no remiss >=5
- G9396 Ini phq9 >9 not assess
- G9408 Card tamp w/in 30d
- G9409 No card tamp e/in 30d
- G9410 Admit w/in 180d req remov
- G9411 No admit w/in 180d req remov
- G9412 Admit w/in 180d req surg rev
- G9413 No admit req surg rev
- G9414 1dose menig vac btwn 10 & 13
- G9415 No 1dose meni vac btwn 10&13
- G9416 Pt 1 tdap betw 10-13 yrs
- G9417 Pt not 1 tdap betw 10-13 yrs
- G9418 Lungcx bx rpt docs class
- G9419 Med reas not incl histo type
- G9420 Spec site no lung
- G9421 Lung cx bx rpt no doc class
- G9422 Rpt doc class histo type
- G9423 Med reas rpt no histo type
- G9424 Site no lung or lung cx
- G9425 Spec rpt no doc class histo
- G9426 Impr med time edarr pain med
- G9427 No impro med time pain med
- G9428 Patho rpt incl pt ctg
- G9429 Doc med rsn no pt cat
- G9430 Spec site no cutaneous
- G9431 Patho rpt no pt ctg
- G9432 Asth controlled
- G9434 Asth not controlled
- G9452 Doc med reas no hcv test
- G9455 Abd imag w/us, CT or MRI
- G9456 Doc med pt reas no hcc scrn
- G9457 Pt no abd img no doc rsn
- G9468 No recd cortico>=10mg/d >60d
- G9470 No rec cortico>60d 1rx 600mg
- G9471 W/in 2yr dxa not order
- G9481 Remote E/M new pt 10mins
- G9482 Remote E/M new pt 20mins
- G9483 Remote E/M new pt 30mins
- G9484 Remote E/M new pt 45mins
- G9485 Remote E/M new pt 60mins
- G9486 Remote E/M est. pt 10mins
- G9487 Remote E/M est. pt 15mins
- G9488 Remote E/M est. pt 25mins
- G9489 Remote E/M est. pt 40mins
- G9490 Cmmi mod home visit
- G9497 Rec inst no smoke day surg
- G9498 Abx reg prescribed
- G9500 Rad expos ind/exp tm doc
- G9501 Rad expos ind/exp tm no doc
- G9502 Med reas no perf foot exam
- G9504 Doc rsn hep b stat not asses
- G9505 Abx pres w/in 10 dys of symp
- G9507 Doc reas on statin or contra
- G9508 Doc pt not on statin
- G9509 Adit mdd dys rem 12 mnths
- G9510 Remis12m not phq-9 score <5
- G9511 Idx evt dte phq>9 doc 12 mo
- G9512 Indiv pdc > 0.8
- G9513 Indiv pdc not > 0.8
- G9514 Req ret or w/in 90d of surg
- G9515 No reas, no ret or w/in 90d
- G9516 Impr vis acuit w/in 90d
- G9517 No impr vis acuit w/in 90d
- G9518 Doc active inj drug use
- G9519 Final ref +/- 1.0 w/in 90d
- G9520 Refract not +/- 1.0 w/in 90d
- G9521 Er and ip hosp <2 in 12 mos
- G9522 Er/ip hosp =/>2 in 12 mos
- G9529 Minor blunt trauma w/head CT
- G9530 Pt mbht hd CT ord ec prov
- G9531 Pt doc
- G9533 Indic for head CT not valid
- G9537 Img hd clin trial
- G9539 Intent pot remv time placemt
- G9540 Pt alive 3 mos post proc
- G9541 Filter rem 3 mon plmt
- G9542 Doc reass appr remo filt 3ms
- G9543 Doc 2x re-assess filt remov
- G9544 No filt remov w/in 3mos plcm
- G9547 Cys ren les or adren
- G9548 No f/u rec image study
- G9549 Doc med rsn for f/u imag
- G9550 Imag rec
- G9551 Imag no les
- G9552 Inc thyr node <1.0 in rpt
- G9553 Prior thyroid dise dx
- G9554 CT/cta/MRI/a chst foll rec
- G9555 Doc med rsn for follup image
- G9556 CT/cta/MRI/a no follup imag
- G9557 CT/cta/MRI/a no thyr <1.0cm
- G9580 Door to punc time <2hrs
- G9582 Door to punc time >2hr, nrg
- G9593 Low pecarn ped head trauma
- G9594 Pt mbht hd CT ord ec prov
- G9595 Doc shnt/tum/coag
- G9597 No low pecarn ped head traum
- G9598 Aor ane 5.5-5.9 cm max diam
- G9599 Aor ane >=6.0 cm max diam
- G9603 Pt surv improv bsline tx
- G9605 Surv score no improv w/tx
- G9606 Intraop cyst eval trac inj
- G9607 Doc med rsn not perf cystosc
- G9608 Intraop cyst eval not done
- G9609 Doc order anti-plat
- G9610 Doc md rsn no antipla
- G9611 No doc order anti-plat rng
- G9621 Scr unheal etoh w/counsel
- G9622 No unheal etoh user
- G9624 Pt not scrn or no counseling
- G9625 Pt bl srg 30 day pst srg
- G9626 Med rsn no rpt bladder inj
- G9627 Pt no bl srg 30 day pst srg
- G9628 Pt bwli srg 30 day pst srg
- G9629 Med rsn no rpt bowel inj
- G9630 Pt no bwli srg 30 day srg
- G9637 Doc >1 dose reduc tech
- G9638 No doc >1 dose reduc tech
- G9642 Current smoker
- G9643 Elective surgery
- G9644 No smok b/4 anes day of surg
- G9645 Had smoke b/4 anes day surg
- G9646 Pt w/90d mrs 0-2
- G9648 Pt w/90d mrs >2
- G9649 Psor as doc spc bm
- G9651 Psor as doc no spc bm
- G9654 Mon anesth care
- G9655 Toc tool incl key elem
- G9656 Pt trans from anest to pacu
- G9658 Toc tool incl elem not used
- G9659 >=86y scr colo nomed rsn
- G9660 Doc med rsn colo pt >= 86y
- G9661 Pt >= 86 w/ hi risk
- G9662 Prior dx/active clin ascvd
- G9663 Fast/dir ldl >= 190 mg/dl
- G9664 Taking statin or rec'd order
- G9665 No statin/no order statin
- G9674 Pt w/clin ascvd dx
- G9675 Pt w/fast/dir lab ldl-c >190
- G9676 40-75y w/type 1/2 w/ldl-c rs
- G9679 Acute care pneumonia
- G9680 Acute care congestive heart
- G9681 Acute care chronic obstruct
- G9682 Acute care skin infection
- G9683 Acute fluid/electro disorder
- G9684 Acute care urinary tract inf
- G9685 Acute nursing facility care
- G9687 Hospice anytime msmt per
- G9688 Pt w/hosp anytime msmt per
- G9689 Inpt elect carotid intervent
- G9690 Pt in hos
- G9691 Pt hosp dur msmt period
- G9692 Hosp recd by pt dur msmt per
- G9693 Pt use hosp during msmt per
- G9694 Hosp srv used pt in msmt per
- G9695 Long act inhal bronchdil pre
- G9696 Med rsn no presc bronchdil
- G9698 Sys rsn no presc bronchdil
- G9699 Long inhal bronchdil no pres
- G9700 Pt is w/hosp during msmt per
- G9702 Pt use hosp during msmt per
- G9703 Anbx 30 prior to episode
- G9704 Ajcc br ca stg i: t1 mic/t1a
- G9705 Ajcc br ca stg ib
- G9706 Low recur prost ca
- G9708 Bilat mast/hx bi /unilat mas
- G9709 Hosp srv used pt in msmt per
- G9710 Pt prov hosp srv msmt per
- G9711 Pt hx tot col or colon ca
- G9712 Doc med rsn presc anbx
- G9713 Pt use hosp during msmt per
- G9714 Pt is w/hosp during msmt per
- G9716 Bmi doc onl fup not cmpltd
- G9717 Doc pt dx bipol
- G9719 Pt not ambul/immob/wc
- G9720 Hospice anytime msmt per
- G9721 Pt not ambul/immob/wc
- G9722 Doc hx renal fail or cr+ >=4
- G9723 Hosp recd by pt dur msmt per
- G9724 Pt w/doc use anticoag mst yr
- G9726 Refused to participate
- G9727 Pt unable cmplt lepf prom
- G9728 Refused to participate
- G9729 Pt unbl cmplt lepf prom
- G9730 Refused to participate
- G9731 Pt unbl cmplt lepf prom
- G9732 Refused to participate
- G9733 Pt unbl cmplt lb fs prom
- G9734 Refused to participate
- G9735 Pt unbl cmplt shld fs prom
- G9736 Refused to participate
- G9737 Pt unbl cmplt ewh fs prom
- G9740 Hosp srv to pt dur msmt per
- G9741 Pt w/hosp anytime msmt per
- G9744 Pt not eli d/t act dig htn
- G9745 Doc rsn no hbp scrn or f/u
- G9746 Mit sten, valve or trans af
- G9752 Urgent surgery
- G9753 Doc no dicom, CT other fac
- G9754 Incid pulm nodule
- G9755 Doc med rsn no fllw up
- G9756 Surg proc w/silicone oil
- G9757 Surg proc w/silicone oil
- G9758 Pt in hos
- G9761 Pt w/hosp anytime msmt per
- G9762 Pt had >= 2-3 HPV vaccines
- G9763 Pt not have 2-3 HPV vaccines
- G9764 Pt treatd w/oral syst or bio
- G9765 Doc pat declined therapy
- G9766 Cva stroke dx tx transf fac
- G9767 Hosp new dx cva consid evst
- G9768 Pt w/hosp anytime msmt per
- G9769 Bn den 2yr/got ost med/ther
- G9770 Perip nerve block
- G9771 Anes end, 1 temp >35.5(95.9)
- G9772 Doc med rsn no temp >= 35.5
- G9773 1 bod temp >=35.5
- G9775 Recd 2 anti-emet pre/intraop
- G9776 Doc med rsn no proph antiem
- G9777 Pt no antiemet pre/intraop
- G9779 Pts breastfeeding
- G9780 Pts dx w/rhabdomyolysis
- G9781 Doc rsn no statin
- G9782 Hx dx fam/pure hypercholes
- G9784 Path/derm prov 2nd biop opin
- G9785 Path report sent
- G9786 Path report not sent
- G9787 Pt alive
- G9788 Most rct bp </= 130/80
- G9789 Record bp ip, er, urg/self
- G9790 Most rct bp >/= 130/80
- G9791 Most rct tob stat free
- G9792 Most rct tob stat not free
- G9793 Pt on daily asa/antiplat
- G9794 Doc med rsn no daily aspirin
- G9795 Pt no daily asa/antiplat
- G9796 Pt currently on statin
- G9797 Pt not currently on statin
- G9805 Pt w/hosp anytime msmt per
- G9806 Pt recd cerv cyto/HPV
- G9807 Pt no recd cerv cyto/HPV
- G9812 Pt died during inpt/30d aft
- G9813 Pt not died w/in 30d of proc
- G9818 Doc sex activity
- G9819 Pt w/hosp anytime msmt per
- G9820 Doc chlam scr test w/follow
- G9821 No doc chlam scr ts w/follow
- G9822 Endo abl proc yr prev ind dt
- G9823 Endo smpl/hyst bx res doc
- G9824 Endo smpl/hyst bx res no doc
- G9830 Her-2 pos
- G9831 Ajcc stg brt ca dx ii or iii
- G9832 Br ca stg = 1 t stg = t1c
- G9838 Pt met dis at dx
- G9839 Anti-egfr mon anti ther
- G9840 Gene testing performed
- G9841 Gene testing not performed
- G9842 Pt met dis at dx
- G9843 Kras or nras gene mutation
- G9844 Pt no recd anti-egfr ther
- G9845 Pt recd anti-egfr ther
- G9846 Pt died from cancer
- G9847 Pt recd chemo last 14d life
- G9848 Pt no chemo last 14d life
- G9858 Pt enroll hospice
- G9859 Pt died from cancer
- G9860 Pt less 3d hospice
- G9861 Pt more than 3d hospice
- G9862 Doc rsn no 10 yr follow
- G9894 Adr dep thrpy prescribed
- G9895 Doc med rsn no adr dep thrpy
- G9896 Doc pt rsn no adr dep thrpy
- G9897 Pt nt prsc adr dep thrpy rng
- G9898 Pt 66+ snp or ltc pos > 90d
- G9899 Scrn mam perf rslts doc
- G9900 Scrn mam perf rslts not doc
- G9901 Pt 66+ snp or ltc pos > 90d
- G9902 Pt scrn tbco and id as user
- G9903 Pt scrn tbco id as non user
- G9905 No pt tbco scrn rng
- G9906 Pt recv tbco cess interv
- G9908 No pt tbco cess interv rng
- G9910 Pt 66+ snp or ltc pos > 90d
- G9911 Node neg pre/post syst ther
- G9912 Hbv status assesed and int
- G9913 No hbv status assesd and int
- G9914 Pt initiated anti-tnf agent
- G9915 No documntd hbv results rcd
- G9916 Funct status past 12 months
- G9917 Adv dem crgvr limited
- G9918 No funct stat perf, rsn NOS
- G9919 Scrn nd pos nd prov of rec
- G9920 Scrning perf and negative
- G9922 Sfty cncrns scrn nd mit recs
- G9923 Safty cncrns scrn and neg
- G9925 No scrn prov rsn NOS
- G9926 Sfty cncrns scrn but no recs
- G9928 No warf or FDA drug presc
- G9929 Trs/rev af
- G9930 Com care
- G9931 No chad or chad scr 0 or 1
- G9938 Pt 66+ snp or ltc pos > 90d
- G9939 Same path/derm perf biopsy
- G9940 Doc reas no statin therapy
- G9943 Bk pn nt msr vas scl pre/pst
- G9945 Pt w/cancer scoliosis
- G9946 Bk pain no vas
- G9949 Leg pain no vas
- G9954 Pt >2 rsk fac post-op vomit
- G9955 Inhlnt anesth only for induc
- G9956 Combo thrpy of >= 2 prophly
- G9957 Doc med rsn no combo thrpy
- G9958 No combo prohpyl thrp for pt
- G9959 Systemic antimicro not presc
- G9960 Med rsn sys antimi nt rx
- G9961 Systemic antimicro presc
- G9962 Embolization doc separatly
- G9963 Embolization not doc separat
- G9964 Pt recv >=1 well-chld visit
- G9965 No well-chld vist recv by pt
- G9968 Pt refrd 2 pvdr/spclst in pp
- G9969 Pvdr rfrd pt rprt rcvd
- G9970 Pvdr rfrd pt no rprt rcvd
- G9988 Pall serv during meas
- G9992 Pall serv during meas
- G9993 Pall serv during meas
- G9994 Pall serv during meas
- G9996 Doc pt pal or hospice
- G9997 Doc pt preg dur msrmt pd
- G9998 Doc med rsn <3 colon
- G9999 Doc sys rsn <3 colon
- H0001 Alcohol and/or drug assess
- H0002 Alcohol and/or drug screenin
- H0003 Alcohol and/or drug screenin
- H0004 Alcohol and/or drug services
- H0005 Alcohol and/or drug services
- H0006 Alcohol and/or drug services
- H0007 Alcohol and/or drug services
- H0008 Alcohol and/or drug services
- H0009 Alcohol and/or drug services
- H0010 Alcohol and/or drug services
- H0011 Alcohol and/or drug services
- H0012 Alcohol and/or drug services
- H0013 Alcohol and/or drug services
- H0014 Alcohol and/or drug services
- H0015 Alcohol and/or drug services
- H0016 Alcohol and/or drug services
- H0017 Alcohol and/or drug services
- H0018 Alcohol and/or drug services
- H0019 Alcohol and/or drug services
- H0020 Alcohol and/or drug services
- H0021 Alcohol and/or drug training
- H0022 Alcohol and/or drug interven
- H0023 Alcohol and/or drug outreach
- H0024 Alcohol and/or drug preventi
- H0025 Alcohol and/or drug preventi
- H0026 Alcohol and/or drug preventi
- H0027 Alcohol and/or drug preventi
- H0028 Alcohol and/or drug preventi
- H0029 Alcohol and/or drug preventi
- H0030 Alcohol and/or drug hotline
- H0031 Mh health assess by non-md
- H0032 Mh svc plan dev by non-md
- H0033 Oral med adm direct observe
- H0034 Med trng & support per 15min
- H0035 Mh partial hosp tx under 24h
- H0036 Comm psy face-face per 15min
- H0037 Comm psy sup tx pgm per diem
- H0038 Self-help/peer svc per 15min
- H0039 Asser com tx face-face/15min
- H0040 Assert comm tx pgm per diem
- H0041 Fos c chld non-ther per diem
- H0042 Fos c chld non-ther per mon
- H0043 Supported housing, per diem
- H0044 Supported housing, per month
- H0045 Respite not-in-home per diem
- H0046 Mental health service, NOS
- H0047 Alcohol/drug abuse svc NOS
- H0048 Spec coll non-blood:a/d test
- H0049 Alcohol/drug screening
- H0050 Alcohol/drug service 15 min
- H0051 Traditional healing service
- H0052 Mmip mental health and care
- H0053 Ht mental health and care
- H1000 Prenatal care atrisk assessm
- H1001 Antepartum management
- H1002 Carecoordination prenatal
- H1003 Prenatal at risk education
- H1004 Follow up home visit/prental
- H1005 Prenatalcare enhanced srv pk
- H1010 Nonmed family planning ed
- H1011 Family assessment
- H2000 Comp multidisipln evaluation
- H2001 Rehabilitation program 1/2 d
- H2010 Comprehensive med svc 15 min
- H2011 Crisis interven svc, 15 min
- H2012 Behav hlth day treat, per hr
- H2013 Psych hlth fac svc, per diem
- H2014 Skills train and dev, 15 min
- H2015 Comp comm supp svc, 15 min
- H2016 Comp comm supp svc, per diem
- H2017 Psysoc rehab svc, per 15 min
- H2018 Psysoc rehab svc, per diem
- H2019 Ther behav svc, per 15 min
- H2020 Ther behav svc, per diem
- H2021 Com wrap-around sv, 15 min
- H2022 Com wrap-around sv, per diem
- H2023 Supported employ, per 15 min
- H2024 Supported employ, per diem
- H2025 Supp maint employ, 15 min
- H2026 Supp maint employ, per diem
- H2027 Psychoed svc, per 15 min
- H2028 Sex offend tx svc, 15 min
- H2029 Sex offend tx svc, per diem
- H2030 Mh clubhouse svc, per 15 min
- H2031 Mh clubhouse svc, per diem
- H2032 Activity therapy, per 15 min
- H2033 Multisys ther/juvenile 15min
- H2034 A/d halfway house, per diem
- H2035 A/d tx program, per hour
- H2036 A/d tx program, per diem
- H2037 Dev delay prev dp ch, 15 min
- H2038 Skill train and dev/diem
- H2040 Coord specialty care, month
- H2041 Coord special care encounter
- J7294 Seg acet and eth estr yearly
- J7295 Eth estr and eton monthly
- J7304 Contraceptive hormone patch
- J7307 Etonogestrel implant system
- K1004 Lo freq us diathermy device
- K1027 Oral dev without fix mech
- K1030 Ext recharge bat replacement
- K1034 Covid test self-admn/collect
- K1035 Mol diag reader self-admn
- K1036 Supplies for ultra diatherm
- K1037 Docking station for oral dev
- M0001 Advancing cancer care mvp
- M0002 Opt care kidney hlth mvp
- M0004 Qual care neurologic cnd mvp
- M0005 Value in primary care mvp
- M1003 Tb scr 12 mo pri fst bio dz
- M1004 Doc med rsn no srn tb
- M1005 Tb scr no perf
- M1006 Dz not ases, no rsn
- M1007 >=50% total pt outpt ra enct
- M1008 <50% total pt outpt ra encts
- M1009 Dc eoc doc med rec
- M1010 Dc eoc doc med rec
- M1011 Dc eoc doc med rec
- M1012 Dc eoc doc med rec
- M1013 Dc eoc doc med rec
- M1014 Dc epi care doc medrec
- M1016 Pt dx meop or sur steri
- M1018 Pt dx hst cr pt sk lg cr scr
- M1019 Adl pt mj dep ds rs 12 phq<5
- M1020 Adl pt mj dep ds no rs 12 mo
- M1021 Pt uc in pp
- M1027 Img head (CT or MRI) obtnd
- M1028 Doc of pt prm hda dx and otr
- M1029 Doc sysm rsn img hd
- M1032 Adt tkng pharmthry for oud
- M1034 Adt 180 dys pharmthry oud
- M1035 Adt pd out mat pr 180 dys tx
- M1036 Adt no 180 dys pharmthry oud
- M1037 Pt dx lum sp reg cacr
- M1038 Pt dx lum sp reg fract
- M1039 Pt dx lum sp reg inf
- M1040 Pt dx lum idi or cong scol
- M1041 Pt cr ft inf lm or pt id sl
- M1043 Fs no odi 9-15mo
- M1045 Fs oks 9-15mo >= 37 >= 71
- M1046 Fs oks 9-15mo < 37 < 71
- M1049 Fs wth scr no odi pre and p
- M1051 Pt w/cancer scoliosis
- M1052 Lg pn not meas w/ vas 1yr po
- M1054 Pt uc in pp
- M1055 Aspirin used
- M1056 Presc antico med in pp
- M1057 Aspirin not used, no rsn
- M1058 Pt prm nurs hm res in pp
- M1059 Pt no prm nurs hm res in pp
- M1060 Pt died in pp
- M1067 Hspc pt prv time meam per
- M1068 Pt not ambulatory
- M1069 Pt scr ft fall rsk
- M1070 Pt not scrn fut fall no rsn
- M1106 Start eoc doc med rec
- M1107 Docu dx degen neuro
- M1108 Oc ni pt home prog
- M1109 Oc ni pt dc
- M1110 Oc not p pt selfdc
- M1111 Start eoc doc med rec
- M1112 Docu dx degen neuro
- M1113 Oc ni pt home prog
- M1114 Oc ni pt dc
- M1115 Oc ni pt selfdc
- M1116 Start eoc doc med rec
- M1117 Docu dx degen neuro
- M1118 Oc ni pt home prog
- M1119 Oc ni pt dc
- M1120 Oc ni pt selfdc
- M1121 Start eoc doc med rec
- M1122 Docu dx degen neuro
- M1123 Oc ni pt home prog
- M1124 Oc ni pt dc 1-2 vis
- M1125 Oc ni pt selfdc 1-2 vis
- M1126 Start eoc doc med rec
- M1127 Docu dx degen neuro
- M1128 Oc ni pt home prog
- M1129 Oc ni pt dc
- M1130 Oc ni pt selfdc
- M1131 Docu dx degen neuro
- M1132 Oc ni pt home prog
- M1133 Oc ni pt dc
- M1134 Oc ni pt selfdc
- M1135 Start eoc doc med rec
- M1141 Fs no oks
- M1142 Emerge cases
- M1143 Ni rehab med chiro
- M1146 Ongoing care not ind
- M1147 Care not poss med rsn
- M1148 Pt self dschg
- M1149 No neck fs prom incap
- M1150 Lvef <=40% or mod/sev l vsf
- M1151 Pt w/ hx trnsplt or lvad
- M1152 Pt w/ hx trnsplt or lvad
- M1153 Pt w/ dx osteo doe
- M1159 Hospc serv dur meas pd
- M1160 Pt anphx due to mengb bef 13
- M1161 Pt anphx due to dtp bef 13
- M1162 Pt enceph due to dtp bef 13
- M1163 Pt anphx due to HPV bef 13
- M1164 Pt w/ dementia any time
- M1165 Pt use hspc dur meas pd
- M1166 Path rpt tis spec wle/reexc
- M1167 Hspc dur meas pd
- M1168 Pt recd flu vax 7/1-6/30
- M1169 Doc med rsn no flu vax
- M1170 Pt w/o flu vax 7/1-6/30
- M1171 Pt recd 1 td/tdap 9yrs prior
- M1172 Doc med rsn no td/tdap
- M1173 Pt no rec td/tdap 9yrs prior
- M1174 Pt w/ 2 hzv 10/2017 - mp
- M1175 Doc med rsn no hzv
- M1176 No 2 hzv 10/2017-meas pd
- M1177 Pt recd pcv on/aft 19
- M1178 Doc med rsn no pcv
- M1179 No pcv recd
- M1180 Pt imm ckpt inhib therapy
- M1181 Gr 2 or> dia or gr2 or> col
- M1182 Not elg pre ex ibd/uc/crohn
- M1183 Doc imm ckpt inhib hld
- M1184 Doc med rsn no cst/ist rx
- M1185 Imm ckpt inhib not hld no rx
- M1186 Pt w/ rx for hspc/plltv care
- M1187 Pt w/ ESRD
- M1188 Pt w/ ckd stg 5
- M1189 Doc khe pef w/efgr/uacr
- M1190 Doc khe not pef w/efgr/uacr
- M1191 Hspc svc any time in meas pd
- M1192 Pt w/ dx sq cell ca of esoph
- M1193 Rpts w/ imp/con mmr/msi
- M1194 Med rsn no imp/con mmr/msi
- M1195 Rpt wo imp/con mmr/msi
- M1196 Ixv nrs vrs iqa >=4
- M1197 Isa reduced >=3 fr ixv
- M1198 Isa not red 3pts /no assess
- M1199 Pt rec'g rrt
- M1200 Ace-i/arb rx
- M1201 Med rsn no ace-i/arb rx
- M1202 Pt rsn no ace-i/arb rx
- M1203 No rsn ace-i/arb rx
- M1204 Ixv nrs vrs iqa >=4
- M1205 Isa reduced >=3
- M1206 Isa not red 3pts/no assess
- M1207 Pt scrn sdoh
- M1208 Pt no scrn sdoh
- M1209 >=2 same hi-rsk med w/o diag
- M1210 >=2 same meds tbl4 not ord
- M1211 Gsa level>9.0%
- M1212 Missing gsa not perf
- M1213 No hx spiro prs spiro>=70%
- M1214 Spiro results wth obs doc
- M1215 Med rsn for no doc spiro
- M1216 No spiro doc no res doc
- M1217 Sys rsn no doc spiro
- M1218 Pt copd symptoms
- M1220 Dre wth interp rtnopthy
- M1221 Dre w/o rtnopthy
- M1222 Glaucoma pln of care not doc
- M1223 Glaucoma plan of care doc
- M1224 Iop dec <20% from base
- M1225 Iop dec>=20% from base
- M1226 Iop not doc
- M1227 Eb therapy prescribed
- M1228 Pt + hcv aby +vir w/ rx 3 mo
- M1229 Pt w/ +hcv +vir ref win 1 mo
- M1230 Pt hcv rctv aby no f/u tst
- M1231 Pt hcv tst no reactive res
- M1232 Pt hcv tst reactive result
- M1233 Pt no hcv aby or result
- M1234 Pt hcv rctv aby f/u neg
- M1235 Doc pt hcv aby RNA tst
- M1236 Baseline mrs > 2
- M1237 Pt rsn no scrn
- M1238 Doc 2nd recom hzv 2-6 mo int
- M1239 Pt no resp heard
- M1240 Pt no resp best int
- M1241 Pt no resp seen as person
- M1242 Pt no resp imprt to me
- M1243 Pt othr thn true heard
- M1244 Pt othr thn true best int
- M1245 Pt othr thn true person
- M1246 Pt othr thn true imprt to me
- M1247 Pt resp true best int
- M1248 Pt resp true seen as person
- M1249 Pt resp true imprt to me
- M1250 Pt resp true heard
- M1251 Pts proxy cmplt hu surv
- M1252 Pts no cmplt hu survey
- M1253 Pts hu surv no amb plltv
- M1254 Pts deceased prior hu surv
- M1255 Pts w/ othr rsn vst,+prg tst
- M1256 Prior history of known cvd
- M1257 Cvd risk assess not perf
- M1258 Cvd risk assess perf
- M1259 Pt stat doc <= 1 yr dialysis
- M1260 Pt not doc <= 1 yr dialysis
- M1261 Pts on wtlist bef dialysis
- M1262 Pts transplt bef dialysis
- M1263 Pts hosp dialysis dt
- M1265 CMS 2728 completed
- M1266 Pts admit snf
- M1267 Pt no act kid transplt wtlst
- M1268 Pt ac stat kid trnsplt wtlst
- M1269 Rec'd ESRD mcp lst day of mo
- M1270 Pts no kid transplt wtlst
- M1271 Pts dem any time/dur mo
- M1272 Pts kid transplt wtlst
- M1273 Pts snf 1 yr dialysis
- M1274 Pts snf exl mo
- M1275 Pts hosp exl
- M1276 Calc bmi out nrm param nof/u
- M1277 Colorectal ca screen doc rev
- M1278 Pre-htn or htn doc, f/u indc
- M1279 Pre-htn/htn, no f/u, not gvn
- M1280 Bilat mast/hx bi /unilat mas
- M1281 Bp scrn no perf at interval
- M1282 Pt scrn tbco id as non user
- M1283 Pt scrn tbco and id as user
- M1284 Pt 66+ snp or ltc pos > 90d
- M1285 Scrn mam perf rslts not doc
- M1286 Bmi doc onl fup not cmpltd
- M1287 Calc bmi blw low param f/u
- M1288 Doc rsn no hbp scrn or f/u
- M1289 No pt tbco cess interv rng
- M1290 Pt not eli d/t act dig htn
- M1291 Pt 66+ frailty and med dem
- M1292 Pt 66+ frail inpt adv ill
- M1293 Calc bmi abv up param f/u
- M1294 Bp scrn perf rec interval
- M1295 Pt hx tot col or colon ca
- M1296 Calc bmi norm parameters
- M1297 Bmi not doc medrsn ptref
- M1298 Doc pt preg dur msrmt pd
- M1299 Flu immunize order/admin
- M1300 Flu imm no admin doc rea
- M1301 Pt recv tbco cess interv
- M1302 Scrn mam perf rslts doc
- M1303 Hospc serv dur meas pd
- M1304 No pneum vax admin 19+
- M1305 Pneum vax admin 19+
- M1306 Pt anphx due to pneum
- M1307 Doc pt pal or hospice
- M1308 Flu immunize no admin
- M1309 Pall serv during meas
- M1310 Pt scr tob & cess int
- M1311 Aphlx to vax bef enc
- M1312 No pt tbco scrn rng
- M1313 No tob scr/cess int
- M1314 Bmi not calculated
- M1315 Crc no doc no rsn
- M1316 Tobacco non-user
- M1317 Pts counsl cpt opt out
- M1318 Pts no csp doc contact
- M1319 Pts csp doc contact
- M1320 Pts scrn + hrsn
- M1321 Pts no 7wk inj,no iop,iop>25
- M1322 Pts 7wk inj, scrn iop =<25
- M1323 Pts 7wk inj, scrn iop >25
- M1324 Pts intravitreal/pci
- M1325 Doc med rsn not seen
- M1326 Pts dx hypotony
- M1327 Pts no eval ini xm no 8 wks
- M1328 Pts dx acute vitreous hem
- M1329 Pts act pvd 2 wks 8 wks
- M1330 Doc pts rsn no f/u xm
- M1331 Pts eval ini xm 8 wks
- M1332 Pts no eval ini xm no 2 wks
- M1333 Acute vitreous hemorrhage
- M1334 Pts act pvd 2 wks 2 wks
- M1335 Doc pts rsn no f/u xm
- M1336 Pts eval ini xm 2 wks
- M1337 Acute pvd
- M1338 Pt f/u 30-180 dys no + imprv
- M1339 Pts f/u 30-180 dys + improv
- M1340 Indx whodas 2.0 or sds
- M1341 Pt no f/u 30-180 dys
- M1342 Pts died perf per
- M1343 Pt pam lvl 4 base or srt lin
- M1344 No bsln/2nd pam score 4-12mo
- M1345 Pt bsln pam, 2nd scr 4-12 mo
- M1346 No pam inc 6 pts 4-12 mo
- M1347 Pt pam incr 3 pt 4-12 mo
- M1348 Pam incr 6 pt 4-12 mo
- M1349 No pam inc 3 pts 4-12 mo
- M1350 Pt w/ suic saf pln init rev
- M1351 Pt cmplt suicd saf pln 120dy
- M1352 Suicd c-ssrs assessment, equ
- M1353 Pts no cmplt suicd saf pln
- M1354 Pt no suicd saf pln 120dy
- M1355 Suicd based cln eval
- M1356 Pt died dur meas pd
- M1357 Pt w/red suic idea 120 days
- M1358 Pts no <suicd idea 120 dys
- M1359 Indx suicd idea, no 0 scr
- M1360 Suicd c-ssrs assessment
- M1361 Suicd based cln eval
- M1362 Pt died dur meas pd
- M1363 Pts no f/u 120 dys
- M1364 Ascvd risk >=20pct
- M1365 Hosp+pall care spec code 17
- M1366 Focus on women's health mvp
- M1367 Qual care ent disorder mvp
- M1368 Prev trt inf d/o HIV/hep mvp
- M1369 Qualcare mental hlth/sud mvp
- M1370 Rehab support msk care mvp
- M1371 Mst rec gsa<7
- M1372 Mst rec gsa >=7 and<8
- M1373 Mst rec gsa >=8 and <=9
- M1374 Ra dx enc 90 days dur per pd
- M1375 Ra dx enc 90 days dur per pd
- M1376 Ra dx enc 90 days dur per pd
- M1377 Fu colscop 10 yr doc w/ disc
- M1378 Med rsn no 10 yr fu colscope
- M1379 10 yr fu no rec rsn not giv
- M1380 2 rx in perf pd any com meds
- M1381 Pt sec strk wthin 5 days
- M1382 Enc dur perf pd pos 11
- M1383 Acute pvd
- M1384 Pt died dur perf pd
- M1385 Pt rsn not seen 2nd pam
- M1386 Exc sx melmn or mlnm is
- M1387 Pt died dur perf pd
- M1388 Pt doc exm rec melmn
- M1390 Pt no doc exm for rec
- M1391 All pt dx w/ rec mlnm
- M1392 Pt rsn no exm or lst to fu
- M1393 Pr no dx rec mlnm
- M1394 Stg i-iii br ca
- M1395 Init chemo w/def dur ec grp
- M1396 Pt ther clin trial
- M1397 Pt w/ recur/prog
- M1398 Bslne and fu promis doc
- M1399 Pt lve prac
- M1400 Pt died dur perf pd
- M1401 Stg i-iii br ca
- M1402 Init chemo w/def dur ec grp
- M1403 Bslne and fu promis doc
- M1404 Pt ther clin trial
- M1405 Pt w/ recur/prog
- M1406 Pt lve prac
- M1407 Pt died dur perf pd
- M1408 Gmln brca bef dx ca
- M1409 Recd gmln brca1/brca2 couns
- M1410 No gmln brca1/brca2 couns
- M1411 1st ln ici no chemo
- M1412 Met nsclc w/ egfr alk oth ab
- M1413 Pos pdl1 bef init ici tx
- M1414 Med rsn no pdl1 bef 1st ther
- M1415 No pos pdl1 bef ici ther
- M1416 Pt rec hosp
- M1417 Pt up to date cov
- M1418 Med rsn not up to date cov
- M1419 Pt not up to date cov
- M1420 Complete ophthalmologic mvp
- M1421 Dermatological care mvp
- M1422 Gastroenterology care mvp
- M1423 Opt care urologic cnd mvp
- M1424 Pulmonology care mvp
- M1425 Surgical care mvp
- M1426 Telehealth enc
- M1427 Doc med rsn bone scn
- M1428 Bilateral absence of eyes
- M1429 Retinopathy in od, os, ou
- M1430 Ret exm ou no retinopthy doc
- M1431 Telehealth enc
- M1432 Telehealth enc
- M1433 Oral chemo wthn 30 days enc
- M1434 Orl chemo wthn 30 d post enc
- M1435 Oral chemo in perf pd
- M1436 Telehealth enc
- M1437 Telehealth enc
- M1438 Lst knwn well <=210 min
- M1439 Sig ocu cond imp surg out
- M1440 Telehealth enc
- M1441 Init dx slp apn = 1st enc
- M1442 Telehealth enc
- M1443 Telehealth enc
- M1444 Del < 39 weeks gest
- M1445 Pp care visit by 12 weeks
- M1446 Pt died bef end meas pd
- M1447 Pt dx bd bef end meas pd
- M1448 Pt dx pd bef end meas pd
- M1449 Pt dx scz/pys bef end msr pd
- M1450 Pt hos/pal care dur id/pf pd
- M1451 Pt dx ppd dur id/pf pd
- M1452 Pt dx dementia ever
- M1453 Preop vis acu > 20/40
- M1454 New cied
- M1455 Rep/rev cied
- M1456 Pt had htx
- M1457 Dx asth dur crnt/prv perf pd
- M1458 Pt died bef end meas pd
- M1459 Pt hosp/pal care dur perf pd
- M1460 Dx copd, cf, or arf
- M1461 Pt dx chron hepc
- M1462 Pt clin ind hd image
- M1463 2 f/u wthn 180 day rx atmp
- M1464 No record of f/u by 180 days
- M1465 F/u > 180 days after rx
- M1466 Pt disc/lam proc same day
- M1467 Pt dx lynch syn
- M1468 Hep b vaccine received
- M1469 Hx of hep b, or pos bld test
- M1470 Hep b vac not rec'd med rsn
- M1471 Ffs hep b not covered
- M1472 Hep b vaccine not received
- M1473 Pt func cap not allow impr
- M1474 Pt dx dementia
- M1475 Pt dx huntington
- M1476 Pt dx cog imp or ad
- M1477 Dx delirium
- M1478 Psychoactive sub abuse
- M1479 Pt func cap not allow impr
- M1480 Pt func cap not allow impr
- M1481 Pt in hosp/pal care who died
- M1482 Pos quan hep c or qual RNA
- M1483 Neg quan hep c or qual RNA
- M1484 No rpt hcv RNA perf med rsn
- M1485 Neg viro resp hep c/qual RNA
- M1486 Pt admitted to snf dur eval
- M1487 Pt adm to hospice dur eval
- M1488 Dx dementia in msr timeframe
- M1489 Pt status doc
- M1490 Pt status not doc
- M1491 Rec'd ESRD mcp dur perf pd
- M1492 No reported fall
- M1493 No fall doc med rsn
- M1494 Fall rep since last visit
- M1495 Fall w/ poc, no fall
- M1496 No doc of fall or poc
- M1497 No doc fall med rsn
- M1498 Diagnostic radiology mvp
- M1499 Interventional radiology mvp
- M1500 Neuropsychology mvp
- M1501 Pathology mvp
- M1502 Podiatry mvp
- M1503 Vascular surgery mvp
- P9050 Granulocytes, pheresis unit
- Q9001 Chaplain assessment
- Q9002 Chaplain counsel individu
- Q9003 Chaplain counsel group
- Q9004 Va whole health partner serv
- S0012 Butorphanol tartrate, nasal
- S0014 Tacrine hydrochloride, 10 mg
- S0021 Injection, cefoperazone sod
- S0023 Injection, cimetidine hydroc
- S0034 Injection, ofloxacin, 400 mg
- S0040 Injection, ticarcillin disod
- S0078 Injection, fosphenytoin sodi
- S0081 Injection, piperacillin sodi
- S0088 Imatinib 100 mg
- S0090 Sildenafil citrate, 25 mg
- S0091 Granisetron 1mg
- S0092 Hydromorphone 250 mg
- S0093 Morphine 500 mg
- S0104 Zidovudine, oral, 100 mg
- S0106 Bupropion hcl sr 60 tablets
- S0108 Mercaptopurine 50 mg
- S0109 Methadone oral 5mg
- S0117 Tretinoin topical 5 g
- S0119 Ondansetron 4 mg
- S0122 Inj menotropins 75 iu
- S0126 Inj follitropin alfa 75 iu
- S0128 Inj follitropin beta 75 iu
- S0132 Inj ganirelix acetat 250 mcg
- S0136 Clozapine, 25 mg
- S0137 Didanosine, 25 mg
- S0138 Finasteride, 5 mg
- S0139 Minoxidil, 10 mg
- S0140 Saquinavir, 200 mg
- S0142 Colistimethate inh sol mg
- S0145 Peg interferon alfa-2a/180
- S0148 Peg interferon alfa-2b/10
- S0155 Epoprostenol dilutant
- S0156 Exemestane, 25 mg
- S0157 Becaplermin gel 1%, 0.5 gm
- S0160 Dextroamphetamine
- S0169 Calcitrol
- S0170 Anastrozole 1 mg
- S0172 Chlorambucil 2 mg
- S0174 Dolasetron 50 mg
- S0175 Flutamide 125 mg
- S0176 Hydroxyurea 500 mg
- S0177 Levamisole 50 mg
- S0178 Lomustine 10 mg
- S0179 Megestrol 20 mg
- S0182 Procarbazine, oral
- S0183 Prochlorperazine 5 mg
- S0187 Tamoxifen 10 mg
- S0190 Mifepristone, oral, 200 mg
- S0191 Misoprostol, oral, 200 mcg
- S0194 Vitamin suppl 100 caps
- S0197 Prenatal vitamins 30 day
- S0199 Med abortion inc all ex drug
- S0201 Partial hospitalization serv
- S0207 Paramedicintercep nonhospals
- S0208 Paramed intrcept nonvol
- S0209 Wc van mileage per mi
- S0215 Nonemerg transp mileage
- S0220 Medical conference by physic
- S0221 Medical conference, 60 min
- S0250 Comp geriatr assmt team
- S0255 Hospice refer visit nonmd
- S0257 End of life counseling
- S0260 H&p for surgery
- S0265 Genetic counsel 15 mins
- S0270 Home std case rate 30 days
- S0271 Home hospice case 30 days
- S0272 Home episodic case 30 days
- S0273 Md home visit outside cap
- S0274 Nurse practr visit outs cap
- S0280 Medical home, initial plan
- S0281 Medical home, maintenance
- S0285 Cnslt before screen colonosc
- S0302 Completed epsdt
- S0310 Hospitalist visit
- S0311 Comp mgmt care coord adv ill
- S0315 Disease management program
- S0316 Follow-up/reassessment
- S0317 Disease mgmt per diem
- S0320 Rn telephone calls to dmp
- S0340 Lifestyle mod 1st stage
- S0341 Lifestyle mod 2 or 3 stage
- S0342 Lifestyle mod 4th stage
- S0353 Cancer treatmentplan initial
- S0354 Cancer treatment plan change
- S0390 Rout foot care per visit
- S0395 Impression casting ft
- S0400 Global eswl kidney
- S0500 Dispos cont lens
- S0504 Singl prscrp lens
- S0506 Bifoc prscp lens
- S0508 Trifoc prscrp lens
- S0510 Non-prscrp lens
- S0512 Daily cont lens
- S0514 Color cont lens
- S0515 Scleral lens liquid bandage
- S0516 Safety frames
- S0518 Sunglass frames
- S0580 Polycarb lens
- S0581 Nonstnd lens
- S0590 Misc integral lens serv
- S0592 Comp cont lens eval
- S0595 New lenses in pts old frame
- S0596 Phakic IOL refractive error
- S0601 Screening proctoscopy
- S0610 Annual gynecological examina
- S0612 Annual gynecological examina
- S0613 Ann breast exam
- S0618 Audiometry for hearing aid
- S0620 Routine ophthalmological exa
- S0621 Routine ophthalmological exa
- S0622 Phys exam for college
- S0630 Removal of sutures
- S0800 Laser in situ keratomileusis
- S0810 Photorefractive keratectomy
- S0812 Phototherap keratect
- S1001 Deluxe item
- S1002 Custom item
- S1015 Iv tubing extension set
- S1016 Non-PVC intravenous administ
- S1030 Gluc monitor purchase
- S1031 Gluc monitor rental
- S1034 Art pancreas system
- S1035 Art pancreas inv disp sensor
- S1036 Art pancreas ext transmitter
- S1037 Art pancreas ext receiver
- S1040 Cranial remolding orthosis
- S1091 Stent non-coronary propel
- S2053 Transplantation of small int
- S2054 Transplantation of multivisc
- S2055 Harvesting of donor multivis
- S2060 Lobar lung transplantation
- S2061 Donor lobectomy (lung)
- S2065 Simult panc kidn trans
- S2066 Breast gap flap reconst
- S2067 Breast "stacked" diep/gap
- S2068 Breast diep or siea flap
- S2070 Cysto laser tx ureteral calc
- S2079 Lap esophagomyotomy
- S2080 Laup
- S2083 Adjustment gastric band
- S2095 Transcath emboliz microspher
- S2102 Islet cell tissue transplant
- S2103 Adrenal tissue transplant
- S2107 Adoptive immunotherapy
- S2112 Knee arthroscp harv
- S2115 Periacetabular osteotomy
- S2117 Arthroereisis, subtalar
- S2118 Total hip resurfacing
- S2120 Low density lipoprotein(ldl)
- S2140 Cord blood harvesting
- S2142 Cord blood-derived stem-cell
- S2150 Bmt harv/transpl 28d pkg
- S2152 Solid organ transpl pkg
- S2202 Echosclerotherapy
- S2205 Minimally invasive direct co
- S2206 Minimally invasive direct co
- S2207 Minimally invasive direct co
- S2208 Minimally invasive direct co
- S2209 Minimally invasive direct co
- S2225 Myringotomy laser-assist
- S2230 Implant semi-imp hear
- S2235 Implant auditory brain imp
- S2260 Induced abortion 17-24 weeks
- S2265 Induced abortion 25-28 wks
- S2266 Induced abortion 29-31 wks
- S2267 Induced abortion 32 or more
- S2300 Arthroscopy, shoulder, surgi
- S2325 Hip core decompression
- S2340 Chemodenervation of abductor
- S2341 Chemodenerv adduct vocal
- S2342 Nasal endoscop po debrid
- S2348 Decompress disc rf lumbar
- S2350 Diskectomy, anterior, with d
- S2351 Diskectomy, anterior, with d
- S2400 Fetal surg congen hernia
- S2401 Fetal surg urin trac obstr
- S2402 Fetal surg cong cyst malf
- S2403 Fetal surg pulmon sequest
- S2404 Fetal surg myelomeningo
- S2405 Fetal surg sacrococ teratoma
- S2409 Fetal surg NOC
- S2411 Fetoscop laser ther ttts
- S2900 Robotic surgical system
- S3000 Bilat dil retinal exam
- S3005 Eval self-assess depression
- S3600 Stat lab
- S3601 Stat lab home/nf
- S3620 Newborn metabolic screening
- S3630 Eosinophil blood count
- S3645 HIV-1 antibody testing of or
- S3650 Saliva test, hormone level;
- S3652 Saliva test, hormone level;
- S3655 Antisperm antibodies test
- S3708 Gastrointestinal fat absorpt
- S3722 Dose optimization auc - 5fu
- S3800 Genetic testing ALS
- S3840 DNA analysis ret-oncogene
- S3841 Gene test retinoblastoma
- S3842 Gene test hippel-lindau
- S3844 DNA analysis deafness
- S3845 Gene test alpha-thalassemia
- S3846 Gene test beta-thalassemia
- S3849 Gene test niemann-pick
- S3850 Gene test sickle cell
- S3852 DNA analysis apoe alzheimer
- S3853 Gene test myo musclr dyst
- S3854 Gene profile panel breast
- S3861 Genetic test brugada
- S3865 Comp genet test hyp cardiomy
- S3866 Spec gene test hyp cardiomy
- S3870 Cgh test developmental delay
- S3900 Surface emg
- S3902 Ballistocardiogram
- S3904 Masters two step
- S4005 Interim labor facility globa
- S4011 Ivf package
- S4013 Compl gift case rate
- S4014 Compl zift case rate
- S4015 Complete ivf NOS case rate
- S4016 Frozen ivf case rate
- S4017 Ivf canc a stim case rate
- S4018 F emb trns canc case rate
- S4020 Ivf canc b4 aspir case rate
- S4021 Ivf canc aftr aspr case rate
- S4022 Asst oocyte fert case rate
- S4023 Incompl donor egg case rate
- S4024 Air polymer foam per study
- S4025 Donor serv ivf case rate
- S4026 Procure donor sperm
- S4027 Store prev froz embryos
- S4028 Microsurg epi sperm asp
- S4030 Sperm procure init visit
- S4031 Sperm procure subs visit
- S4035 Stimulated iui case rate
- S4037 Cryo embryo transf case rate
- S4040 Monit store cryo embryo 30 d
- S4042 Ovulation mgmt per cycle
- S4981 Insert levonorgestrel ius
- S4989 Contracept iud
- S4990 Nicotine patch legend
- S4991 Nicotine patch nonlegend
- S4993 Contraceptive pills for bc
- S4995 Smoking cessation gum
- S5000 Prescription drug, generic
- S5001 Prescription drug,brand name
- S5010 5% dextrose and 0.45% saline
- S5012 5% dextrose with potassium
- S5013 5%dextrose/0.45%saline1000ml
- S5014 D5w/0.45ns w kcl and mgs04
- S5035 Hit routine device maint
- S5036 Hit device repair
- S5100 Adult daycare services 15min
- S5101 Adult day care per half day
- S5102 Adult day care per diem
- S5105 Centerbased day care perdiem
- S5108 Homecare train pt 15 min
- S5109 Homecare train pt session
- S5110 Family homecare training 15m
- S5111 Family homecare train/sessio
- S5115 Nonfamily homecare train/15m
- S5116 Nonfamily hc train/session
- S5120 Chore services per 15 min
- S5121 Chore services per diem
- S5125 Attendant care service /15m
- S5126 Attendant care service /diem
- S5130 Homaker service NOS per 15m
- S5131 Homemaker service NOS /diem
- S5135 Adult companioncare per 15m
- S5136 Adult companioncare per diem
- S5140 Adult foster care per diem
- S5141 Adult foster care per month
- S5145 Child fostercare th per diem
- S5146 Ther fostercare child /month
- S5150 Unskilled respite care /15m
- S5151 Unskilled respitecare /diem
- S5160 Emer response sys instal&tst
- S5161 Emer rspns sys serv permonth
- S5162 Emer rspns system purchase
- S5165 Home modifications per serv
- S5170 Homedelivered prepared meal
- S5175 Laundry serv,ext,prof,/order
- S5180 Hh respiratory thrpy in eval
- S5181 Hh respiratory thrpy NOS/day
- S5185 Med reminder serv per month
- S5190 Wellness assessment by nonph
- S5199 Personal care item NOS each
- S5497 Hit cath care NOC
- S5498 Hit simple cath care
- S5501 Hit complex cath care
- S5502 Hit interim cath care
- S5517 Hit declotting kit
- S5518 Hit cath repair kit
- S5520 Hit picc insert kit
- S5521 Hit midline cath insert kit
- S5522 Hit picc insert no supp
- S5523 Hip midline cath insert kit
- S5550 Insulin rapid 5 u
- S5551 Insulin most rapid 5 u
- S5552 Insulin intermed 5 u
- S5553 Insulin long acting 5 u
- S5560 Insulin reuse pen 1.5 ml
- S5561 Insulin reuse pen 3 ml
- S5565 Insulin cartridge 150 u
- S5566 Insulin cartridge 300 u
- S5570 Insulin dispos pen 1.5 ml
- S5571 Insulin dispos pen 3 ml
- S8030 Tantalum ring application
- S8035 Magnetic source imaging
- S8037 Mrcp
- S8040 Topographic brain mapping
- S8042 MRI low field
- S8055 Us guidance fetal reduct
- S8080 Scintimammography
- S8085 Fluorine-18 fluorodeoxygluco
- S8092 Electron beam computed tomog
- S8096 Portable peak flow meter
- S8097 Asthma kit
- S8100 Spacer without mask
- S8101 Spacer with mask
- S8110 Peak expiratory flow rate (p
- S8120 O2 contents gas cubic ft
- S8121 O2 contents liquid lb
- S8130 Interferential stim 2 chan
- S8131 Interferential stim 4 chan
- S8185 Flutter device
- S8186 Swivel adaptor
- S8189 Trach supply NOC
- S8210 Mucus trap
- S8265 Haberman feeder
- S8270 Enuresis alarm
- S8301 Infect control supplies NOS
- S8415 Supplies for home delivery
- S8420 Custom gradient sleev/glov
- S8421 Ready gradient sleev/glov
- S8422 Custom grad sleeve med
- S8423 Custom grad sleeve heavy
- S8424 Ready gradient sleeve
- S8425 Custom grad glove med
- S8426 Custom grad glove heavy
- S8427 Ready gradient glove
- S8428 Ready gradient gauntlet
- S8429 Gradient pressure wrap
- S8430 Padding for comprssn bdg
- S8431 Compression bandage
- S8450 Splint digit
- S8451 Splint wrist or ankle
- S8452 Splint elbow
- S8460 Camisole post-mast
- S8490 100 insulin syringes
- S8930 Auricular electrostimulation
- S8940 Hippotherapy per session
- S8948 Low-level laser trmt 15 min
- S8950 Complex lymphedema therapy,
- S8990 Pt or manip for maint
- S8999 Resuscitation bag
- S9001 Home uterine monitor with or
- S9002 Intra-vag motion sens biofk
- S9007 Ultrafiltration monitor
- S9024 Paranasal sinus ultrasound
- S9025 Omnicardiogram/cardiointegra
- S9034 Eswl for gallstones
- S9055 Procuren or other growth fac
- S9056 Coma stimulation per diem
- S9061 Medical supplies and equipme
- S9083 Urgent care center global
- S9088 Services provided in urgent
- S9090 Vertebral axial decompressio
- S9097 Home visit wound care
- S9098 Home phototherapy visit
- S9110 Telemonitoring/home per mnth
- S9117 Back school visit
- S9122 Home health aide or certifie
- S9123 Nursing care in home rn
- S9124 Nursing care, in the home; b
- S9125 Respite care, in the home, p
- S9126 Hospice care, in the home, p
- S9127 Social work visit, in the ho
- S9128 Speech therapy, in the home,
- S9129 Occupational therapy, in the
- S9131 Pt in the home per diem
- S9140 Diabetic management program,
- S9141 Diabetic management program,
- S9145 Insulin pump initiation
- S9150 Evaluation by ocularist
- S9152 Speech therapy, re-eval
- S9208 Home mgmt preterm labor
- S9209 Home mgmt pprom
- S9211 Home mgmt gest hypertension
- S9212 Hm postpar hyper per diem
- S9213 Hm preeclamp per diem
- S9214 Hm gest dm per diem
- S9325 Hit pain mgmt per diem
- S9326 Hit cont pain per diem
- S9327 Hit int pain per diem
- S9328 Hit pain imp pump diem
- S9329 Hit chemo per diem
- S9330 Hit cont chem diem
- S9331 Hit intermit chemo diem
- S9335 Ht hemodialysis diem
- S9336 Hit cont anticoag diem
- S9338 Hit immunotherapy diem
- S9339 Hit periton dialysis diem
- S9340 Hit enteral per diem
- S9341 Hit enteral grav diem
- S9342 Hit enteral pump diem
- S9343 Hit enteral bolus nurs
- S9345 Hit anti-hemophil diem
- S9346 Hit alpha-1-proteinas diem
- S9347 Hit longterm infusion diem
- S9348 Hit sympathomim diem
- S9349 Hit tocolysis diem
- S9351 Hit cont antiemetic diem
- S9353 Hit cont insulin diem
- S9355 Hit chelation diem
- S9357 Hit enzyme replace diem
- S9359 Hit anti-tnf per diem
- S9361 Hit diuretic infus diem
- S9363 Hit anti-spasmotic diem
- S9364 Hit tpn total diem
- S9365 Hit tpn 1 liter diem
- S9366 Hit tpn 2 liter diem
- S9367 Hit tpn 3 liter diem
- S9368 Hit tpn over 3l diem
- S9370 Ht inj antiemetic diem
- S9372 Ht inj anticoag diem
- S9373 Hit hydra total diem
- S9374 Hit hydra 1 liter diem
- S9375 Hit hydra 2 liter diem
- S9376 Hit hydra 3 liter diem
- S9377 Hit hydra over 3l diem
- S9379 Hit NOC per diem
- S9381 Hit high risk/escort
- S9401 Anticoag clinic per session
- S9430 Pharmacy comp/disp serv
- S9432 Med food non inborn err meta
- S9433 Medical food oral 100% nutr
- S9434 Mod solid food suppl
- S9435 Medical foods for inborn err
- S9436 Lamaze class
- S9437 Childbirth refresher class
- S9438 Cesarean birth class
- S9439 Vbac class
- S9441 Asthma education
- S9442 Birthing class
- S9443 Lactation class
- S9444 Parenting class
- S9445 Pt education NOC individ
- S9446 Pt education NOC group
- S9447 Infant safety class
- S9449 Weight mgmt class
- S9451 Exercise class
- S9452 Nutrition class
- S9453 Smoking cessation class
- S9454 Stress mgmt class
- S9455 Diabetic management program,
- S9460 Diabetic management program,
- S9465 Diabetic management program,
- S9470 Nutritional counseling, diet
- S9472 Cardiac rehabilitation progr
- S9473 Pulmonary rehabilitation pro
- S9474 Enterostomal therapy by a re
- S9475 Ambulatory setting substance
- S9476 Vestibular rehab per diem
- S9480 Intensive outpatient psychia
- S9482 Family stabilization 15 min
- S9484 Crisis intervention per hour
- S9485 Crisis intervention mental h
- S9490 Hit corticosteroid/diem
- S9494 Hit antibiotic total diem
- S9497 Hit antibiotic q3h diem
- S9500 Hit antibiotic q24h diem
- S9501 Hit antibiotic q12h diem
- S9502 Hit antibiotic q8h diem
- S9503 Hit antibiotic q6h diem
- S9504 Hit antibiotic q4h diem
- S9529 Venipuncture home/snf
- S9537 Ht hem horm inj diem
- S9538 Hit blood products diem
- S9542 Ht inj NOC per diem
- S9558 Ht inj growth horm diem
- S9559 Hit inj interferon diem
- S9560 Ht inj hormone diem
- S9562 Ht inj palivizumab/ab diem
- S9563 Ht inj immuno diem
- S9590 Ht irrigation diem
- S9810 Ht pharm per hour
- S9900 Christian sci pract visit
- S9901 Christian sci nurse visit
- S9970 Health club membership yr
- S9975 Transplant related per diem
- S9976 Lodging per diem
- S9977 Meals per diem
- S9981 Med record copy admin
- S9982 Med record copy per page
- S9986 Not medically necessary svc
- S9988 Serv part of phase i trial
- S9989 Services outside us
- S9990 Services provided as part of
- S9991 Services provided as part of
- S9992 Transportation costs to and
- S9994 Lodging costs (e.g. hotel ch
- S9996 Meals for clinical trial par
- S9999 Sales tax
- T1000 Private duty/independent nsg
- T1001 Nursing assessment/evaluatn
- T1002 Rn services up to 15 minutes
- T1003 Lpn/lvn services up to 15min
- T1004 Nsg aide service up to 15min
- T1005 Respite care service 15 min
- T1006 Family/couple counseling
- T1007 Treatment plan development
- T1009 Child sitting services
- T1010 Meals when receive services
- T1012 Alcohol/substance abuse skil
- T1013 Sign lang/oral interpreter
- T1014 Telehealth transmit, per min
- T1015 Clinic service
- T1016 Case management
- T1017 Targeted case management
- T1018 School-based iep ser bundled
- T1019 Personal care ser per 15 min
- T1020 Personal care ser per diem
- T1021 Hh aide or cn aide per visit
- T1022 Contracted services per day
- T1023 Program intake assessment
- T1024 Team evaluation & management
- T1025 Ped compr care pkg, per diem
- T1026 Ped compr care pkg, per hour
- T1027 Family training & counseling
- T1028 Home environment assessment
- T1029 Dwelling lead investigation
- T1030 Rn home care per diem
- T1031 Lpn home care per diem
- T1032 Sv doula brth wrk per 15 min
- T1033 Sv doula brth wrk per diem
- T1040 Comm bh clinic svc per diem
- T1041 Comm bh clinic svc per month
- T1502 Medication admin visit
- T1503 Med admin, not oral/inject
- T1505 Elec med comp dev, NOC
- T1999 NOC retail items andsupplies
- T2001 N-et; patient attend/escort
- T2002 N-et; per diem
- T2003 N-et; encounter/trip
- T2004 N-et; commerc carrier pass
- T2005 N-et; stretcher van
- T2007 Non-emer transport wait time
- T2010 Pasrr level i
- T2011 Pasrr level ii
- T2012 Habil ed waiver, per diem
- T2013 Habil ed waiver per hour
- T2014 Habil prevoc waiver, per d
- T2015 Habil prevoc waiver per hr
- T2016 Habil res waiver per diem
- T2017 Habil res waiver 15 min
- T2018 Habil sup empl waiver/diem
- T2019 Habil sup empl waiver 15min
- T2020 Day habil waiver per diem
- T2021 Day habil waiver per 15 min
- T2022 Case management, per month
- T2023 Targeted case mgmt per month
- T2024 Serv asmnt/care plan waiver
- T2025 Waiver service, NOS
- T2026 Special childcare waiver/d
- T2027 Spec childcare waiver 15 min
- T2028 Special supply, NOS waiver
- T2029 Special med equip, noswaiver
- T2030 Assist living waiver/month
- T2031 Assist living waiver/diem
- T2032 Res care, NOS waiver/month
- T2033 Res, NOS waiver per diem
- T2034 Crisis interven waiver/diem
- T2035 Utility services waiver
- T2036 Camp overnite waiver/session
- T2037 Camp day waiver/session
- T2038 Comm trans waiver/service
- T2039 Vehicle mod waiver/service
- T2040 Financial mgt waiver/15min
- T2041 Support broker waiver/15 min
- T2042 Hospice routine home care
- T2043 Hospice continuous home care
- T2044 Hospice respite care
- T2045 Hospice general care
- T2046 Hospice long term care, r&b
- T2047 Hab prevo waiver per 15
- T2048 Bh ltc res r&b, per diem
- T2049 N-et; stretcher van, mileage
- T2050 Financial mgt waiver/diem
- T2051 Support broker waiver/diem
- T2101 Breast milk proc/store/dist
- T4541 Large disposable underpad
- T4542 Small disposable underpad
- T5001 Position seat spec orth need
- T5999 Supply, NOS
How this category is built
HCPCS Level II codes are organized by their first letter, which is how the range hubs on this site group them, but one kind of item or service often spans several letters: wheelchairs sit in the E and K ranges, supplies in A, B, Q and T, and imaging in A, C, G, Q and R. This hub regroups the codes by the BETOS category CMS records for each code in the HCPCS file, splitting the large prosthetic and orthotic category by L-code range and keeping vision and hearing items apart, so each non-drug code belongs to exactly one category hub besides its range hub. The national Medicare amount comes from the 2026 physician fee schedule, DMEPOS, clinical laboratory, OPPS or ASC file that prices the code, as on its reference page.
Where QuickIntell fits for codes without a BETOS category
QuickCode supports qualified coder review of units, modifiers and NCCI pairs before the claim leaves, and QuickAuth coordinates requirement checks and documentation for items and services that a coverage policy governs, each with human review.
Frequently asked questions
Which HCPCS codes are grouped under "Codes without a BETOS category"?
1,753 active Level II codes in the October 2026 file, grouped here by BETOS Z1 and Z2 (local and unassigned codes). 3 have a full reference page; the table lists those and the collapsed list names the rest.
What is a BETOS category?
The Berenson-Eggers Type of Service classification groups HCPCS and CPT codes into broad clinical categories such as evaluation and management, procedures, imaging, tests and durable medical equipment. CMS carries a BETOS code for each Level II code in the HCPCS file, which is what this hub reads.
Which code in this category has the highest Medicare amount?
Among the codes with an indexed page, G0323 at $57.78 (PFS non-facility), from the October 2026 files. Each code page shows the full breakdown by modifier, state or locality.
Sources
Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.
- HCPCS Level II alpha-numeric file, October 2026Version October 2026 · effective 2026-10-01 · file HCPC2026_OCT_ANWEB_09232026.txtSHA-256 c25240c63108756d…
- Medicare PFS national relative value file RVU26D (non-QPP), October 2026Version RVU26D, released 2026-08-26 · effective 2026-10-01 · file PPRRVU2026_Oct_nonQPP.csvSHA-256 4d0d3f19bd954ffc…
- DMEPOS fee schedule DME26-D, October 2026Version DME26-D (October 2026) · effective 2026-10-01 · file DMEPOS_OCT.csvSHA-256 a2824d58aadf4004…
- Clinical Laboratory Fee Schedule public use file, 2026 fourth quarter (26CLABQ4)Version 26CLABQ4 (CY2026 Q4) · effective 2026-10-01 · file PUF_CLFS_CY2026_Q4V1.csvSHA-256 fcfec34526c44390…
- OPPS Addendum B, October 2026Version October 2026 · effective 2026-10-01 · file 508-compliant-version-2026_October_Web_Addendum_B.09.28.26.csvSHA-256 6ad7393a318bf1b9…
Disclaimer
Operational reference compiled from CMS publications. Amounts are Medicare national figures before locality and state adjustment; other payers differ. CPT codes appear as numbers only. Not legal, clinical or billing advice.
Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.